Laserfiche WebLink
2- 7-07;11:03AM; • ;2099836960 11 2/ 3 <br />RgQQ <br />WrF`� <br />DD, EHO LOG NUMBER <br />SAN JOAQUIN COUNTY <br />FEB 17 2007 EN' MONMENTAL E[FALTH DEPARTMENT. <br />304 East Weber Avenue, 3rd Floor, Stockton, CA 95202-2703 <br />ENVIRONMENT HEALTH • 'relephone: (209)•46$-3420 Bax: (209) 464-0133 Web: www.sjgov.org/elid <br />PERMIMERVIGES <br />3 PUBLIC RECORDS RELEASE APPLICATION <br />1 '--- <br />APPLICANT: _—!_`�l1'&j vDe eU' BUSINESSfAGENcY: _ cert A - 'Voyevs ` A5$6'fa1✓j <br />ADDRESS: ZO2 VAI e✓vl'K Pkwy, Suet `�dD S�a���,v,,S�A _q ZCiv _ <br />i PHONE (1)! ?-Oct - PHONE (2): FACSIMILE: F3 ' (0 2 UO <br />TENTATIVE` APPOINTMENT DATE: Stn �/ _ Tuna <br />i (Pleas* allow 10,business days from date ofappMcadon submittal - *reatativo only -must be confirmed) <br />C� CHECK BOX To EXPEDITE REQUEST • *99 Of I VEE Otit.Y) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT r7p. <br />DATE 2 -0 <br />Electronic Information; 0 List [] Map -- Descripltlon: <br />FILE ADDRESS EHD USE ONLY <br />Street Ia <br />Sfneet Name <br />qty, A L� I� UNt 1 <br />WOW N, I <br />H TA-) ew Unit 2 <br />b+66 -}ova <br />Un{t 3 <br />! D Unir 4 <br />Unit 5 <br />Unit e <br />1• <br />r1I q <br />•Sv'A4U Ate 4 V oad <br />2• <br />tt <br />1 N 5GL ohRp( <br />A <br />A t4d ewca e <br />4.. <br />7. <br />8. <br />_8. <br />10 <br />Specific Date Range of lafamadort Requested: From of Iti l� to V` <br />ENVIRONMENTAL HEALTH DEFiAkrmENT FILIrS <br />13 UNDl�0U D TANK (USI) CLEANUP SITE (LOP) <br />OTHER CLEANUP•SRE (NOH -LOP) <br />UNDEFthkouub TANK(MOWtORINC#RE1dOYAL) <br />13 HAZARDOUS WASTE GENERATOR <br />TjdcD PE K9Mo FAc wTY <br />TAWOOMODY P16RaIrG <br />MEDICAL WASTE FAaLnY <br />WELLAHO $EPTIC PEWIT RECORDS ARE <br />Housm AeATEmea <br />FOOD FACkM <br />Doo KENNEL. <br />CMOMN RANa1 <br />MOTEIhioTffi <br />POOLISPA <br />OM1t.(PLWe SPECIM <br />eFOR REVIEW - MONDAY -FRIDAY 8.00 <br />I oup WASTE FACT MA(WC1Lr <br />WASTE TIRE <br />DAutlr <br />WASWWATF.RTIMATIAENT PLANY' <br />Pumpe ucWYARPICHEgToLm <br />Uwe USCAl'PUC44WU Saes <br />EXCLUDING HOut,AYS, <br />1. List up to ten addresses In the space above. Select the type(s) of files from the list above by checking tate appropriate � <br />box(es). At least one file type MUST be selected- Fax to (209) 464.0138 or mail to the address indicated above. Address <br />ranges will not be accepted - for additional assistance With file addresses, contact the EHD, Applications received after <br />3:00 pm will be processed the next business day, <br />2. The EHD will notify the applicant If any END files exist, An appointment for roview will be confirmed approximately ten (10) <br />days after recelpt of application. The files will be held for a maximum of give business days for review. Appointments <br />should be scheduled accordingly. <br />3. A file that is actively -being worked on by EHD staff may not be Immediatoly available for review. A new application may be <br />submitted when- the file is available.. ' <br />4- Any file not returned In the same condition as released will be reorganized by EHD staff at the expense of the sppllcant. <br />Future file reviews by the same applicant may require a $95.00 deposit prior to review., <br />EHD USIE ONLY <br />TO/T0 39dd <br />Hi -I 3H _1VIN3114NO 1IAN3 <br />86T0b9b60Z 60:01 1.00Z/LG/Z0 <br />